Provider Demographics
NPI:1902187693
Name:SHUAYB HOME HEALTH LLC
Entity type:Organization
Organization Name:SHUAYB HOME HEALTH LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRES
Authorized Official - Prefix:
Authorized Official - First Name:MAYSSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SHUAYB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-942-3813
Mailing Address - Street 1:11026 NORTHCLIFFE BLVD
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:FL
Mailing Address - Zip Code:34608-3768
Mailing Address - Country:US
Mailing Address - Phone:352-515-6932
Mailing Address - Fax:352-515-6932
Practice Address - Street 1:11026 NORTHCLIFFE BLVD STE 1
Practice Address - Street 2:
Practice Address - City:SPRING HILL
Practice Address - State:FL
Practice Address - Zip Code:34608-3768
Practice Address - Country:US
Practice Address - Phone:352-942-3813
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-08
Last Update Date:2019-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health